Welcome to our practice test for Medical Laboratory Certification Exams like ASCP and AMT for MLT, CLS and MLS. Test includes General Laboratory, Hematology, Clinical Chemistry, Urinalysis & Body Fluids, Blood Banking & Immunohematology, Serology & Immunology and Microbiology. You have 60 minutes to answer 100 test questions. Good luck!
#1. Which one of the following conditions will most likely lead to hypoxia?
#2. Which of the following analytes require chilling of the specimen with ice?
#3. Reagent strip testing for blood in urine is based on which principle
#4. Type of reaction when antigen in reagent is attached to latex particles to form visible clumping in the presence of corresponding antibody
#5. How long must the sample be stored following a transfusion of the patient?
#6. Vitamin K dependent serine protease activated by thrombomodulin on the endothelial cell
#7. Red pigment produced by many strains of Serratia marcescens
#8. Which of the following statements does not describe the Classical Complement Activation Pathway?
#9. Which of the following immunoglobulins is the most efficient at agglutination
#10. The number of moles of substance in one liter of solution
#11. Determine the acid-base balance: pH = 7.26, pCO2 = 58, HCO3 = 23
#12. What percent of the Caucasian population is negative for the D antigen?
#13. Which of the following cells produce antibodies?
#14. Kovac’s reagent is a reagent used in which biochemical test?
#15. Which of the following is not detected by reagent strip tests for blood?
#16. An electrophoresis machine is used to separate
#17. A linear tetrapyrrole compound primarily responsible for the yellow color of urine
#18. Test that measures the patient’s average glucose level over 2-3 weeks by measuring glucose attached to proteins
#19. Which of the following is false about NH3?
#20. In the indirect fluorescent anti-nuclear antibody test, a homogenous pattern indicates the presence of antibody to
#21. The following are reasons for CSF analysis except
#22. Large ground glass colonies with an often comma shaped projections from the colony edge giving it an appearance of a “Medusa-head”
#23. The lowest concentration of an antimicrobial that will inhibit the visible growth of a microorganism after overnight incubation
#24. Which of the following disorders would be associated with a right shift in the red cell histogram?
#25. A group AB patient needs blood but ABO identical is unavailable. Which alternative group(s) may be used?
#26. Which of the following statements on oval fat bodies is not true?
#27. Morphologically appearing as small curved rods with a “seagull appearance”
#28. Beta Gamma Bridge pattern in protein electrophoresis can be seen in
#29. An abnormally high specific gravity may be seen in which of the following conditions?
#30. Which of the following mediators is released during T cell activation?
#31. Which of the following are also called polychromatophilic erythrocytes
#32. A type of lymphocyte that produces lymphokines, the mediates of cellular immunity
#33. Only cestode to produce operculated eggs and are also called Broad Fish Tapeworm
#34. The following are clotting factors acting as contact proteins except
#35. Drug of choice for Clostridium difficile and MRSA
#36. Flocculation tests for syphilis detect the presence of
#37. If a patient is blood type A, which of the following antibodies are in his serum/plasma
#38. An analytical chemistry technique used to measure the amount of turbidity or cloudiness in a solution caused by the presence of suspended insoluble particles.
#39. Gram negative oxidase positive fermenter seen as curved rods with polar flagella
#40. The following statements are true of active immunity except
#41. Substances that are antigenic only when coupled to a protein carrier are
#42. Where in the nephron is 90% of the filtered bicarbonate reabsorbed?
#43. What is the formula for anion gap?
#44. Which of the following is an RNA synthesis inhibitor?
#45. The presence of eosinophils in the urine is associated with
#46. Porphobilinogen in the urine may be detected by the following tests except
#47. Chemical end product of the Hexokinase method of glucose determination
#48. The majority of the iron in an adult is found as a constituent of
#49. What serum tumor marker is typically elevated in serous carcinoma (aka, malignant serous tumor) of the ovary?
#50. Type I Hypersensitivity Reactions are all of the following except
#51. In a cytocentrifuged spinal fluid, a predominance of neutrophils usually indicates which etiology for an infection?
#52. Which of the following is a storage form of iron?
#53. What percent cell suspension is used when testing cells for ABO antigens?
#54. Which of the following is associated with pulmonary edema with hypertension caused by volume overload?
#55. Urine shows negative for glucose on the reagent strip but a positive reaction with Benedict’s test. What is the reason?
#56. Each of the following samples may be used in hematology except
#57. Presentation of multicolored red blood cells in a stained blood smear
#58. The process of isolating a solid substance from solution by freezing the solution and vaporizing the ice away under vacuum conditions.
#59. Protein measured by urine reagent strips
#60. Which autoantibody is associated with scleroderma?
#61. A patient is administered an oral glucose tolerance test with the following results. Fasting glucose = 128 mg/dl, 2 hour post load glucose = 238 mg/dl.
#62. Gram negative microaerophillic bacteria associated with gastric and duodenal ulcers
#63. A blood ammonia level was ordered on a patient with Reye’s syndrome. The results on the clotted sample were normal. The most likely explanation for these results is
#64. What cellular component is responsible for energy production and metabolic processes?
#65. The disappearance of HBsAg and HBeAg, the persistence of anti-HBc, the appearance of anti-HBs, and often of anti-AHe indicate
#66. Upon initial typing, the cells from a person with the Bombay phenotype will appear to be which ABO type
#67. A monoclonal spike of IgG, Bence Jones proteinuria, and bone pain are usually associated with
#68. Coagulation instrumentation based on the principle that a clot causes a decrease in movement of an iron ball in an electromagnetic field
#69. Which of the following statements on IgG is false
#70. Solid remaining after evaporation of a mixture or solution to dryness
#71. In assessing the usefulness of a new laboratory test, sensitivity is defined as the percentage of
#72. What immunoglobulin is synthesized in the spleen?
#73. A technique for the identification of proteins in serum or other fluid by electrophoresis and subsequent gel immunodiffusion.
#74. Refers to how close measurements of the same item are to each other
#75. Which of the following coagulation factors is not dependent on Vitamin K?
#76. Which of the following components has ALL of the coagulation factors?
#77. Test used to detect ABO antigens present on the patient’s red cells with known antiserum
#78. If a patient receives a bag of single donor platelets and his platelet count does not increase (In fact, it sometimes decreases.), we say he may be refractory to platelets. How do we attempt to overcome this refractoriness
#79. Which of the following is an organ-specific autoimmune disease?
#80. Which serologic marker confirms immunity to Hepatitis B due to past infection?
#81. Term used to describe the agreement of results with the true value for substance in a given specimen
#82. Which of the following is not a clinical symptom of primary hypothyroidism?
#83. Incompatibility by which of the following procedures is an absolute contraindication to allotransplantation?
#84. Falsely elevated ammonia levels can be caused by the following except
#85. Which of the following is not a reason for measuring urine pH?
#86. Antibiotic used in the identification and detection of MRSA
#87. Specimen used in therapeutic drug monitoring that is drawn shortly before the next dose
#88. Which of the following statements is true?
#89. Category 3 Exposures is defined by OSHA as
#90. What is the principle behind the reagent strip testing for urine bilirubin?
#91. The assembly of the complement “membrane attack unit” is initiated with the binding of
#92. The following are examples of Analytical Process factors except
#93. Para-dimethylaminobenzaldehyde in an acid buffer is used in which reaction
#94. Written plan that stipulates what to do in case of a chemical spill, fire or exposure to chemicals in the lab.
#95. Which peripheral blood cell is responsible for humoral and cell mediated immunity?
#96. An agglutination procedure is performed with the following results: 1:10 NEG, 1:20 POS, 1:40 POS, 1:80 POS, 1:160 POS, 1:320 NEG. The reportable titer for this test is
#97. Bacterial toxin found in certain strains of Streptococcus pyogenes responsible for the rash of scarlet fever
#98. What is the reason why testing for ionized calcium needs to be collected anaerobically?
#99. Method used in some coagulation analyzers that utilizes activated coagulation factor (enzyme) which cleaves substrate releasing color tag. The resulting change in color is measured photometrically.
#100. Diagnosis of group A streptococci (Streptococcus pyogenes) infection is indicated by the presence of
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Wow this is tough. Thank you for making this.